（廿岁以下疳，廿岁以上劳）
脑疳，头皮光急，头发作穗，或有疮肿至囟，囟肿则多损眼。脑热如火，囟脑高，遍身多汗也。
脊疳，虫蚀脊膂骨如锯齿，拍背如鼓鸣，十指背生疮，频咬爪甲，烦热黄瘦也。
走马疳，蚀齿龈，口疮出血，鼻气，齿黑脱落，囟有穴者，名曰走马，盖阳明热气奔如马也。
无辜疳，脑后有核，初生软而不觉痛，其中有虫如米粉，不速破去，则热气渐长，虫随气血流散，侵蚀脏腑，黄
瘦头大，手足细弱，遂至于死也。（古方天有鸟，名曰无辜，昼伏夜游，儿家洗浣衣绷，露天经宿，或遇此鸟飞过，落
羽所污，而与儿穿动，令有此疾也）
丁奚疳，腹大颈细，黄瘦是也。丁者，手足与项极小伶仃也。奚者，腹大也。甚者，尻高肉削，脐突胸满，爱吃
生米、土炭等物也。
哺露疳，虚热往来，头骨分解，反食土虫，烦渴呕哕，骨瘦 露形也。盖诸疳皆因脾胃久虚，形体瘦削而发也，
并宜十全丹。
十全丹
陈皮 青皮 蓬术（此材太峻，宜去之，代入玄胡索）
川芎 五灵脂 白豆蔻 槟榔 芦荟（各五钱） 木香 使君子（各二钱）
上为末，以猪胆汁浸糕和丸麻子大，米饮下二、三十丸。
如虚甚，加人参一钱。
如冷疳，至圣丸（方见上）主之，兼治诸疳泄痢。
如热疳，五福化毒丹（方见上）主之。
肥儿丸（此方消疳化积，磨癖清热，伐肝补脾，进食杀虫也）
胡黄连（五钱） 使君子（四钱五分） 人参 黄连（姜炒） 神曲 麦芽（炒） 山楂肉（各二钱半） 白术 白
茯苓 甘草（炙，各三钱） 芦荟（煨，二钱半）
上为末，黄米糊和丸绿豆大，米饮下二、三十丸。
消食丸（通治五疳，杀虫退热，磨积进食。五疳，五肠之疳也）
使君子 草龙胆 麦芽（炒） 陈皮 芜夷 神曲 黄连 山楂肉（各等分）
上陈米饭和丸黍米大，米饮下二、三十丸，或作煎汤亦可。
诸疳。蛇脯作丸服之最妙，有验。
齿疳。土鼠干肉作末和清，涂之为妙。
一方∶蛇胆涂之亦效。
脑疳：头皮光亮紧绷，头发结成穗状，有时疮肿延伸至囟门，若囟门肿胀则容易损伤眼睛。脑部发热如火烧，囟门隆起，全身多汗。
脊疳：虫蚀脊柱骨如同锯齿，拍打背部声音如击鼓，十指背面生疮，频繁咬指甲，伴有烦热、面色萎黄、身体消瘦。
走马疳：侵蚀牙龈，口疮出血，鼻息恶臭，牙齿变黑脱落，若囟门有凹陷者，称为“走马”，这是因为阳明经热气奔涌如马奔跑所致。
无辜疳：脑后出现肿块，初生时柔软且不觉得疼痛，其中含有像米粉一样的虫子，如果不迅速破除清除，热气会逐渐增长，虫子随气血流散，侵蚀脏腑，导致面色萎黄、身体消瘦、头大、手足细弱，最终致死。（古方记载有一种鸟名叫“无辜”，白天潜伏夜晚活动，婴儿家庭洗涤衣物被褥，露天放置过夜，如果遇到这种鸟飞过，羽毛掉落污染了衣物，给婴儿穿上，就会引发此病。）
丁奚疳：腹部膨大、颈部细小，面色萎黄、身体消瘦就是此症。“丁”是指四肢和颈部极度细小伶仃；“奚”是指腹部膨大。严重的会出现臀部高耸、肌肉削瘦、肚脐突出、胸部胀满，喜欢吃生米、泥土、木炭等异物。
哺露疳：虚热往来不定，头骨缝裂开，反常地吃土中虫子，烦躁口渴、呕吐呃逆，骨骼消瘦、皮包骨头。大概各种疳积都是因为脾胃长期虚弱，形体消瘦而引发的，都适宜使用十全丹。
十全丹
陈皮、青皮、蓬术（此药性太猛烈，建议去掉，用玄胡索代替）
川芎、五灵脂、白豆蔻、槟榔、芦荟（各五钱）、木香、使君子（各二钱）
以上药物研为细末，用猪胆汁浸泡糕饼调和制成麻子大小的丸剂，米汤送服二三十丸。
如果虚损严重，加人参一钱。
如果是冷疳，用至圣丸（方剂见上文）主治，兼治各种疳积引起的泄泻痢疾。
如果是热疳，用五福化毒丹（方剂见上文）主治。
肥儿丸（此方具有消除疳积、化解积滞、磨除痞块、清热、疏肝健脾、增进食欲、杀虫的功效）
胡黄连（五钱）、使君子（四钱五分）、人参、黄连（姜炒）、神曲、麦芽（炒）、山楂肉（各二钱半）、白术、白茯苓、甘草（炙，各三钱）、芦荟（煨，二钱半）
以上药物研为细末，用黄米糊调和制成绿豆大小的丸剂，米汤送服二三十丸。
消食丸（通治五种疳积，杀虫退热，磨积进食。所谓五疳，是指五脏之疳）
使君子、草龙胆、麦芽（炒）、陈皮、芜荑、神曲、黄连、山楂肉（各等分）
以上药物用陈米饭调和制成黍米大小的丸剂，米汤送服二三十丸，或者煎汤服用也可以。
各种疳积：将蛇脯制成丸剂服用效果最好，确有疗效。
齿疳：将土鼠干肉研成粉末，调和清液涂抹患处效果极佳。
另一方法：用蛇胆涂抹也有效。
(For children under twenty years of age, the condition is Gan accumulation; for those over twenty, it is Lao exhaustion.)
Brain Gan (Gan syndrome affecting the brain): The scalp is shiny and tight, hair forms tufts or spikes. There may be sores or swelling extending to the fontanelle; if the fontanelle swells, it often damages the eyes. The head feels hot like fire, the fontanelle bulges, and there is profuse sweating all over the body.
Spine Gan (Gan syndrome affecting the spine): Parasites erode the spinal bones like saw teeth; tapping the back produces a drum-like sound. Sores appear on the backs of the ten fingers, the patient frequently bites their fingernails, accompanied by irritability, fever, sallow complexion, and emaciation.
Zouma Gan (Running Horse Gan): This condition erodes the gums, causes bleeding from mouth ulcers, foul breath, blackening and loss of teeth. If the fontanelle presents with a pit, it is named "Zouma" (Running Horse), attributed to the surging heat of the Yangming meridian resembling a galloping horse.
Wugu Gan (Innocent Gan): A mass appears behind the ear/head. Initially soft and painless, it contains parasites resembling rice flour. If not promptly ruptured and removed, the pathogenic heat gradually increases, and the parasites disperse via Qi and Blood, damaging the Zang-Fu organs. This leads to sallow complexion, emaciation, a large head, and weak limbs, eventually resulting in death. (Ancient texts mention a bird named "Wugu" that hides during the day and moves at night. If infants' laundry is left exposed overnight and contaminated by feathers from this bird flying overhead, wearing such clothes can cause this disease.)
Dingxi Gan: Abdominal distension with a thin neck, sallow complexion, and emaciation characterize this condition. "Ding" refers to the extreme thinness of the limbs and neck; "Xi" refers to the distended abdomen. In severe cases, the sacrum protrudes, muscles waste away, the umbilicus bulges, and the chest feels full. The patient may crave eating raw rice, soil, or charcoal.
Pulu Gan: Alternating deficiency-heat, splitting of the cranial sutures, pica (eating earthworms), irritability, thirst, vomiting, and retching occur. The bones are emaciated, leaving only skin covering them. Generally, all Gan syndromes arise from long-term Spleen and Stomach deficiency leading to physical wasting. All these conditions are suitable for treatment with Shiquan Dan.
Shiquan Dan (Ten Perfection Pill)
Chenpi (Aged Tangerine Peel), Qingpi (Green Tangerine Peel), Pengzhu (Curcuma Phaeocaulis) [Note: This herb is too harsh; replace with Xuanhusuo (Corydalis Rhizome)]
Chuanxiong (Ligusticum Rhizome), Wulingzhi (Trogopterus Dung), Baidoukou (White Cardamom), Binglang (Areca Seed), Lushen (Aloe) [each 5 qian]
Muxiang (Costus Root), Shijunzi (Quinine Tree Fruit) [each 2 qian]
Grind the above into powder. Soak steamed cake in pig bile, mix with the powder to form pills the size of hemp seeds. Take 20–30 pills with rice water.
If deficiency is severe, add 1 qian of Renshen (Ginseng).
For Cold Gan, use Zhisheng Wan (Sage Pill) as the primary treatment, which also manages diarrhea and dysentery associated with various Gan syndromes.
For Heat Gan, use Wufu Huadu Dan (Five Blessings Detoxification Pill) as the primary treatment.
Fei'er Wan (Fat Child Pill) [This formula eliminates Gan, resolves accumulation, dissipates masses, clears heat, soothes the Liver, tonifies the Spleen, promotes appetite, and kills parasites.]
Huhuanglian (Picrorhiza Rhizome) [5 qian], Shijunzi (Quinine Tree Fruit) [4.5 qian], Renshen (Ginseng), Huanglian (Coptis Rhizome, stir-fried with ginger), Shenqu (Medicated Leaven), Maiya (Barley Sprout, stir-fried), Shan-zha Rou (Crataegus Flesh) [each 2.5 qian], Baizhu (Atractylodes Macrocephala Rhizome), Baifuling (Poria), Gancao (Licorice Root, honey-fried) [each 3 qian], Lushen (Aloe, roasted) [2.5 qian].
Grind into powder. Mix with yellow millet paste to form pills the size of mung beans. Take 20–30 pills with rice water.
Xiaoshi Wan (Digestion Promoting Pill) [Universally treats the Five Gans, kills parasites, reduces heat, dissolves accumulation, and promotes appetite. The "Five Gans" refer to Gan syndromes affecting the five Zang organs.]
Shijunzi (Quinine Tree Fruit), Caolongdan (Gentiana Scabra Root), Maiya (Barley Sprout, stir-fried), Chenpi (Aged Tangerine Peel), Wuyi (Toosendan Fruit), Shenqu (Medicated Leaven), Huanglian (Coptis Rhizome), Shan-zha Rou (Crataegus Flesh) [equal parts].
Mix with aged rice meal to form pills the size of millet seeds. Take 20–30 pills with rice water, or decoct into a soup.
For various Gan syndromes: Pills made from dried snake meat are most effective and have verified efficacy.
For Dental Gan: Dried meat of the field mouse ground into powder, mixed with clear liquid and applied topically, is excellent.
Another method: Applying snake bile is also effective.